Laserfiche WebLink
tog <br />APPL. <br />No. �i. / ,S fl <br />IXED <br />0 <br />1 DEPOSIT s`— <br />i <br />APPLICA..vN FOR SERVICE <br />CITY OF EVERETT WATER DEPT. <br />Yzl <br />SERVICE to—Y ADDRESS)-Off/ST <br />OWNER `_ _ � C� Uil%NFJ�C <br />FLAT <br />INSTALI MMlMD SERVICE <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />SIG'iiDl X. <br />SERVICE N' 17r5 <br />ORDER <br />DATE.- <br />W. O. <br />NO. <br />5e�t-- /i=Z_a s <br />MATERIALS <br />ii IN. <br />1 IN. <br />E IN. <br />III <br />PRICE <br />AMOUNT <br />1 PIPE <br />• GALV. - STEEL <br />CORPORATION <br />CURB COCK OT_ <br />SERVICE BOX <br />PLASTIC -- C 1 <br />— <br />METER VALVE <br />METER No. - -�_ TYPE) --- I N <br />METER BOX CONCRETE SMALL LARGE <br />E- <br />90 ° �ep u- <br />_I <br />EF <br />i <br />I <br />DATE INSTALLED: <br />_ <br />I] ON <br />VOFF SUB TOTAL <br />COO' ■ <br />LABOR AND EQUIPMENT RENTAL HOURS <br />RATE <br />p <br />i_ <br />- 41 <br />TOTAL <br />REMARKS: <br />I._ <br />